Meter Swap i����� �����
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Request Number: 8431
Public Works Division
5ervice Request ���`
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_. _ _ _.
Problem Address: 226 Rice Creek Blvd Requested By: Steve Breidenfeldt
Department: WATER Address: No address provided
Problem/Issue: INSTALL ANIIt METER Phone Number: 571-7471
Scheduled Date: 2014-07-15 Scheduted TSme: 07:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-14
ACTION TAI�N:
Old meter#11551579 Old reading:472 60 New meter#44921930 ERT#35159902
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Status: Completed Resident Contacted I"''
Date Completed: 2014-07-15 Completed by: Ryan Johnson
Hours
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Request Number: 8431
Public Works Division
Service Request
Problem Address: 226 Rice Creek Blvd Requested By: Steve Breidenfeldt
Depa�tment: WA7ER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: � 571-7471
Schedule 2014-07 15 Scheduled Time: 07:30:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-14
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed :
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. _ _ - . _ , , City of Fridley
. . __. Water Department � _ - , i. _ _ _.
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liabie for the water line from the main to the premise and all interior plumbing. (Per C'ity cocfe
402.06� I also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
�ecessary.
Final meter readin old meter ����" �
B� �
Name� Address• ��� `�`'� �� ��V�
Phone Number. Date:, ( `����
Signature•
Witness Signature•
� FRIDLEY GTY C�DE
CHAPTER 402. ATER,STORM WATER,AND SANITARY SEWER
ADMINISTRAYION
(4tef Ord No 113,4G4,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous2
or building for whith the application is made,the owner or contractar shall be required ta obtain a permit for such
cannect'son,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shali be notified. It shall be unlawful to cover any connecting Iine until an
inspectian has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabte connection.
402.86.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water senrice or sewer lead has been extended ta the property line for connection,the applicant,owner,
ar the uccupant or user of such premises shall be liable for atl�epairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. If the prop�tty owner requests
maintenance service or repairs be performed by the�ty,the property awner shall be charged for the costs of the
maintenance and/or�epairs, includin�any necessary street repairs,at a rate set annuatty hy an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the p�emises ta the main including de6�is clearing or root cutting and to maintain the
water service cu�b stop box for aperability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191) �
Request Number: 8297
Public Works Divis�on
Service Request
Problem Address: 6711 -2nd St NE Requested By: Andrew Pappas
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: I+763-571-4008
Scheduled Date: 2014-07-15 � Scheduled Time: 08:00:00
t� v C
AC710N NEEDED: Install AMR
' Created by: Cheryl Pellegrin Date Created: 2014-06-30
ACTION TAKEN:
...............................,....................................................:.........................................._........�...__.._....._.................................................................................................................:........................................................_.............................._............___...._._....._
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Status: In Progress Resident Contacted ❑
Date Completed: Com leted
1���`�
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�
- City af Fridley
... __. Water Department - -.- -
6431 University Avenue NE-
Fridley,MN 55432
(763j 5T2-3566
)/We hereby authorize the City of Fridley andjor its
empioyees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all irrteriar plumbing. (Per C'ity code
4Q2.[!6) t also hold the City of Fridley and/its employees hacmtess for a�ry dan�ages that may occur
whi{e daing this operation. This to inc{ude,but not limited to;valves,piping,walts,ftoors or d�e curb
stop box and service fine. f understand i am aiso required to obtain a permit priar to any work,if
necessary. �
F(nal meter reading(old meter) ���� � ��
Name• Address�_ lY (�1 �� u'
Phone Num r• Date• ��l ✓�` `
—z
Signature•
W9tness Signature•
�
� FRIDLEY CITY C4DE
CHAPTER M�2 WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Itef Ord No 113,4fi4,SfiS,566,624,638,662,922,988,1144,1156,1141)
A02.05.PERMIT FEE
Prior to constructing or repair of any water ar sewer line connecting the existing municipal system and any house
or buiiding for which the applicatlon is made,the owner or contrado�shall be required to obtain a permit for such
connection,and shall pay a pe�mit fee as pravided in Chapter 11 af this Code. After such connection has been
made,the Water and Sewer Department shall be notifled. It shall be unlawful ta cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitahte connectton.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
Afte�the initlal connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for ail�epalrs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the propgCty owner requests
maintenance service o�repairs be perFormed by the C�ty,the property owner shall be charged for the costs of the
maintenance and/or�epairs, including any neces5ary street repairs,at a rate.set annuaily by an administrative
policy. It shait be the�esponsihility of the applicant,awner,occupant or user ta petfiarm standard maintenance of
� the sewer senrice line from the premises ta the main lnctuding dea�is clearing o�root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it rema9ns above the finished
grade of the land or property. f Ref 638,115fi,1191)